Middlesboro ARH Hospital
3600 W Cumberland Avenue, Middlesboro, KY · Arh · · NPI 1891792495
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Instillation anticarcinogenic agent bladder CPT 51720 | $664.20 | $1,107.00 | $457.53 – $457.53 | 7 |
| Insulin total CPT 83525 | $136.20 | $227.00 | $9.71 – $11.43 | 9 |
| Intrinsic factor antibody CPT 86340 | $252.60 | $421.00 | $12.81 – $15.08 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $759.60 | $1,266.00 | $159.18 – $159.18 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $318.00 | $530.00 | $0.53 – $0.53 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $696.00 | $1,160.00 | $0.18 – $0.18 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $110.40 | $184.00 | $114.13 – $114.13 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $88.20 | $147.00 | $74.80 – $74.80 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $184.20 | $307.00 | $1.65 – $1.65 | 2 |
| Iron CPT 83540 | $135.00 | $225.00 | $5.51 – $6.47 | 9 |
| Iron binding capacity CPT 83550 | $115.80 | $193.00 | $7.43 – $8.74 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $321.00 | $535.00 | $0.26 – $0.26 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $90.60 | $151.00 | $40.72 – $40.72 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $289.20 | $482.00 | $48.78 – $48.78 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $289.20 | $482.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $88.20 | $147.00 | $31.63 – $31.63 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $318.60 | $531.00 | $144.42 – $144.42 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $219.00 | $365.00 | $6.94 – $8.17 | 9 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $18.00 | $30.00 | $0.30 – $0.41 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,330.20 | $2,217.00 | $368.97 – $368.97 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $454.20 | $757.00 | $72.89 – $72.89 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | $70.56 | $117.60 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $923.90 | $1,539.83 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,022.20 | $5,037.00 | $244.80 – $760.00 | 9 |
| Knee MRI (with contrast) CPT 73722 | $3,022.20 | $5,037.00 | $541.56 – $760.00 | 9 |
| Knee MRI (without contrast) CPT 73721 | $6,044.40 | $10,074.00 | $165.69 – $760.00 | 9 |
| Knee X-ray CPT 73564 | $567.00 | $945.00 | $72.89 – $72.89 | 7 |
| Kyleena, 19.5 mg HCPCS J7296 | $3,031.20 | $5,052.00 | $1,178.40 – $1,178.40 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.60 | $56.00 | $0.46 – $0.46 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $78.00 | $130.00 | $5.13 – $6.04 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | $21.00 | $35.00 | $2.90 – $2.90 | 2 |
| Lactic acid CPT 83605 | $114.00 | $190.00 | $9.08 – $11.57 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $276.60 | $461.00 | $16.68 – $19.70 | 9 |
| Lactoferrin fecal quant CPT 83631 | $82.80 | $138.00 | $16.68 – $19.63 | 9 |
| Lead capillary CPT 83655 | $156.60 | $261.00 | $10.29 – $12.11 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $806.40 | $1,344.00 | $165.69 – $165.69 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,499.40 | $2,499.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $274.80 | $458.00 | $4.65 – $4.65 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $13,044.00 | $21,740.00 | $176.45 – $183.28 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,551.00 | $7,585.00 | $1,730.32 – $2,048.46 | 9 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $27.00 | $45.00 | $0.05 – $0.05 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $159.00 | $265.00 | $13.25 – $13.25 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $39.00 | $65.00 | $2.31 – $2.31 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $13.80 | $23.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $27.30 | $45.50 | $0.00 – $0.00 | 7 |
| Ligation major artery neck CPT 37615 | $925.20 | $1,542.00 | $442.91 – $730.80 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $135.60 | $226.00 | $4.09 – $4.09 | 2 |
| Lipase CPT 83690 | $164.40 | $274.00 | $5.86 – $6.89 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $90.60 | $151.00 | $6.96 – $8.19 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $102.00 | $170.00 | $8.11 – $10.50 | 9 |
| Lithium therapeutic drug level CPT 80178 | $102.60 | $171.00 | $5.62 – $6.61 | 9 |
| Liver Function Test CPT 80076 | $164.40 | $274.00 | $5.69 – $8.17 | 9 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.20 | $7.00 | $1.55 – $1.55 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,713.80 | $4,523.00 | $122.03 – $542.00 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,360.80 | $2,268.00 | $244.80 – $542.00 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,884.00 | $3,140.00 | $72.89 – $542.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,774.00 | $6,290.00 | $244.80 – $760.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,151.80 | $5,253.00 | $244.80 – $760.00 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,066.60 | $5,111.00 | $165.69 – $760.00 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $267.60 | $446.00 | $72.89 – $72.89 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $214.20 | $357.00 | $107.25 – $107.25 | 7 |
| Lung perfusion imaging CPT 78580 | $690.60 | $1,151.00 | $275.44 – $275.44 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $23,212.20 | $38,687.00 | $207.13 – $243.08 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $36,126.00 | $60,210.00 | $41.98 – $49.49 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $801.60 | $1,336.00 | $368.97 – $368.97 | 7 |
| Magnesium CPT 83735 | $180.00 | $300.00 | $5.69 – $6.70 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.20 | $47.00 | $0.59 – $0.59 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $100.20 | $167.00 | $88.36 – $88.36 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $103.20 | $172.00 | $88.36 – $88.36 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $132.26 | $220.44 | not published | 0 |
| Mastectomy partial CPT 19301 | $1,122.60 | $1,871.00 | $595.90 – $996.98 | 7 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $82.79 | $137.99 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $25.20 | $42.00 | $12.29 – $14.46 | 9 |
| Mayo aathr protein s free CPT 85306 | $181.20 | $302.00 | $13.02 – $15.32 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $240.60 | $401.00 | $13.02 – $15.32 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $1,021.20 | $1,702.00 | $15.43 – $38.57 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $160.20 | $267.00 | $12.57 – $14.78 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $323.40 | $539.00 | $11.42 – $13.44 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $92.40 | $154.00 | $12.81 – $15.08 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $277.20 | $462.00 | $26.30 – $91.66 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,297.40 | $3,829.00 | $9.64 – $1,160.00 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $158.40 | $264.00 | $12.41 – $14.60 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | $118.20 | $197.00 | $9.19 – $10.81 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $82.20 | $137.00 | $8.65 – $10.18 | 9 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $156.00 | $260.00 | $11.21 – $13.19 | 9 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $37.20 | $62.00 | $1.73 – $16.87 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $414.00 | $690.00 | $22.75 – $26.78 | 9 |
| Mayo ceruloplasmin CPT 82390 | $181.20 | $302.00 | $9.13 – $10.74 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $256.80 | $428.00 | $12.01 – $14.12 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $112.80 | $188.00 | $10.95 – $12.88 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $64.20 | $107.00 | $10.05 – $11.82 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,322.40 | $2,204.00 | $99.01 – $116.49 | 9 |
| Mayo chromium CPT 82495 | $215.40 | $359.00 | $17.24 – $20.28 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $874.20 | $1,457.00 | $8.50 – $24.09 | 9 |
| Mayo cortisol free CPT 82530 | $73.80 | $123.00 | $14.20 – $16.71 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $96.00 | $160.00 | $42.13 – $42.13 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $175.20 | $292.00 | $10.31 – $12.12 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $24.60 | $41.00 | $11.26 – $13.25 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $185.40 | $309.00 | $21.47 – $25.27 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $49.80 | $83.00 | $13.01 – $29.28 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.